| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,467 |
1,311 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
832 |
768 |
$57K |
| 99233 |
Prolong inpt eval add15 m |
75 |
18 |
$4K |
| 90686 |
|
110 |
93 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
19 |
13 |
$2K |
| 96127 |
|
96 |
80 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
18 |
13 |
$604.76 |